MiscSubjects

PACIFIC DENTAL GROUP

PACIFIC DENTAL GROUP

Healthcare Organization

fax
415-453-6412
npi
1669802435
phone
415-453-6277
status
A
address
1523 5TH AVE, SAN RAFAEL, CA, 949011806
license
40351
taxonomy
Dentist, General Practice
last updated
2013-11-15
license state
CA
taxonomy code
1223G0001X
enumeration date
2013-11-15
enumeration type
NPI-2
practice locations
0
authorized official
CLARK FONG
organizational subpart
NO
npiregistry.cms.hhs.gov ↗

Recorded 2026-10-10

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COUNTY OF MARINAssessor parcel record
Parcel number
01120203
01120203

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